# FAMILY MEDICAL CARE OF RIVERVIEW PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922192574
- **Authorized official:** EDDIE G. LOUDERBACK C.M.M. (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (813) 677-8418

## Contact information

- **Practice address:** 7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578-4346
- **Practice address phone:** (813) 677-8418
- **Practice address fax:** (813) 677-8419
- **Mailing address:** 7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578-4346
- **Mailing address phone:** (813) 677-8418
- **Mailing address fax:** (813) 677-8419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | FL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 01/05/2010